9440 SW EDGEWOOD STREET y
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CITY O F TI G,A►R ® MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Halt Blvd., Tigard,OR 97223 (50)639-4171 PERMIT #. . . . . . . : MEC98-0137
DATE ISSUED: 04/20/98
I
PARCEL: 2S102CD-02300
SITE ADDRESS. . . : 09440 SW EDGEWOOD ST
SURD JVISION. . . . : EDGEWOOD ZONING- R-- i. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O18 JURTSDICTION: TIG
-----------------------------------
CLASS OF WORK. . %ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . .- 0 VENT FANS. . . .- 0
OCCUPANCY GRP. . :R3 VENTS W/O APPLr 0 VENT SYSTEMS: 0
STORIES. . . .. . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS --15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU t5- 130 HP. . . . : 0 REPAIR UNITS: 0
FIRE'. DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE:. . . : 50+ HP. . . . . 0 CLO DRYERS. . : I
NO. OF AIR HANDLING LIN I TES OTHER UNIT'S. : I
FURN � 100M, BTU: 0 <= 10000 cfm : 0 GAS ou-rLi-T'S. : I
FLIRN ) =100K BTLJ: 0 > 10000 efin: 0
Rpmat-ks .- Installation of gas dryer, gas bar-b-que 1 3 outlets for gas piping.
Owner-: --------------------------------- FEES
CLARENCE D JOHNSON type aMOL(nt by date t-ecpt
9440 SW EDGEWOOD PRMT $ 25. 00 DRA 04/20/98 98--30506'-'
TIGARD OR 97223 PCT" $ J.. 25 DRA 04/20/98 98-305061-,
Phone #: 626-8448
Cont t-e.ctar- ----------------------------------
OWNER
26. 25 TOTAL
Phone #:
Reg #. . -
REQUIRED INSPEC7IONS
This permit is issued subjert to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes end all other ilechanical Insp
applicable ldffg. All work will be d,-ne in accordaece with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 95?-80I-WO through OAR F52-711-WN. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
.Is-
,Y I s 1.t e Cj" Permittee Signati-ire :
+ ..........4.++ 4.+4++++4.................... +4.....
Call + ..........
4' ++ X j
60-4j7.+ by 7:00 p. m. for, inspections needed the ne �15 iness day
-++#-+-4 ++++4-+4........... .... ++++++++++++++++++++++++++++++++++++++
Plan Chec
CITY OF TIGARD Mechanical Permit Application Recd By ti
Date Rec'd____
13125 SW HALL BLVD. Commercial and Residential Date to PE
-TIGARD, OR 97223 Date to DST_
(503) 639-4171, x304 Permit#
Print orType Called
Incomplete or illegible applications will not be accepted
-'" Name IDs pme Proj t Qe�cription — p 1 y PRICE AMT
'able to Mechanical Code Permit Fee
100
Job Street Address SuAefl r!
t' 0_
Address u C, "« _ 600
8ldglf cit lState Zip 1.) Furnace to 100,000 BTU
including ducts&vents
Name(or name of business)
2.) Furnace 100,000 B 1 U4. 7 50
including duds&vents
Owner ess =-�-- 3.j Floor Furnace 600
Mail!ng Address
incln vent
City/StateylState
Zip Phone 4.) suspended heater,wall heater 6.00
or floor mounted heater
— Name(or name of business)
5) Vent not included in appliance permit 3.00
Occupant Marling -ddress 6.) Boiler or comp,heat pump,air cond. 6.00
to 3 HP;absorb unit to 100K BUT"
CAylState
ZI=P 7.) Boller or comp,heat pump,air cond. 11 00
3-15 HP;absorb unit to 500K BTU"
8.) Boiler cr comp.heat pump,air cond
Contractor Name , 15 00
�^ 15-30 HP;absorb unit.5-1 mil BTU"
22.50
Mailing Address 9) Boiler or comp,heat pump,air cond.
Prior to permit 30-50 HP;absorb unit 1-1.75mil BTU"
II issuance,a copy Zip Phone 10.) Boiler or comp,heat pump,air cond. 37 50
of all licenses GAY/State
II, >50 HP',absorb unit 1.75 mil BTU"
are required if
Oregon Const Cont Board Lic# Exp Date 11.) Air handling unit to 10,000 CFM 450
expired in COT 9
database — 12.) Air handling unit 750
Architect Name —
10,000 CT_M+
13.) Non-portable evaporate cooler
or Mailing Address 4 50
Zip Phone 14.) Vent fan wnne_ted to a single dud 3.00
Engineer CrtylState — -- _—J
15.) Ven
tilation system not included
7455 Descibe work New O Addition O AI'eration O Repair O n appliance permit _--
to be done Residential O Non-residential O —. 16.) Hood served by mechanical exhaust
i Additional Description of work: —
IT) Domestic incinerators 7 50
t8J r..ommercial or industrial 30 00
Existing use of a incinerator _
building or property — — 4 50
19.) Repair units
I 450
Proposed use of 20) Wood stove
building or property 21.) Clothes dryer,etc. r 4 50 �> >
I
450 j C)
Type of fuel-of O natural gas O I_PG O electric O � _
I hereby acknowledge th I have r this application,that the information 23.) gas piping one to four outlets —
100
given is cor at I t the ow Irt or authorized agent of -- 50
the owr�e� ubmitte re in compliance with O� n St laws 24.) More than 4-per outlet(each) f
II Si—g�atwA erlAgent D p I ----- _
% _5%SURCHARGE /
1 �
—�
_ U -- PLAN REVIEW 25%OF SUBTOTAL
Contact Person Name Phone
Required for all commercial permrts on '•
TOTAL,
'Minimum permit fee is 525 f 5%surcharge
"Residential A1C requires site plan showing placement of unit.
I Vnechpnnt.dor. rev 4/15198